Individual
KRONDA NICOLE HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3120 BROADWAY, FORT WAYNE, IN 46807-1509
(260) 704-5466
Mailing address
811 E PONTIAC ST, FORT WAYNE, IN 46803-3459
(260) 704-5466
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28245427A
IN
163W00000X
Registered Nurse
28245427C
IN
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/17/2022
Last updated
01/14/2025
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